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Michigan rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,039.00 / $17,556.90 / $28,500.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,467.00 / $18,467.00 / $18,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,136.10 / $32,891.42 / $42,168.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,136.62 / $27,331.82 / $34,569.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,560.70 / $18,881.20 / $30,191.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,689.59 / $25,119.37 / $38,163.62